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Individual

ASHLEY NICHOLE WIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
750 POTOMAC ST, AURORA, CO 80011-6700
(970) 310-3406
Mailing address
320 W OLIVE ST, FORT COLLINS, CO 80521-2716
(408) 655-4114

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09924938
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CSW.09924938
DORA
CO
Enumeration date
11/09/2020
Last updated
11/10/2020
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